Healthcare Provider Details

I. General information

NPI: 1649340738
Provider Name (Legal Business Name): KARA LEA COLE APN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

897 IRONWOOD DR
MINDEN NV
89423-5198
US

IV. Provider business mailing address

897 IRONWOOD DR
MINDEN NV
89423-5198
US

V. Phone/Fax

Practice location:
  • Phone: 775-782-1610
  • Fax: 775-782-2310
Mailing address:
  • Phone: 775-782-1610
  • Fax: 775-782-2310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN25750
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN000693
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: